Evidence map›Paper›PMID 39508714›Full record

ArticleActa ophthalmologica2025

Graft detachment rates in surgeon-cut and pre-cut tissue for DSAEK transported in different mediums.

Thorbjörg Olafsdottir, Faisal Hootak, Carina Forslund, Eydis Olafsdottir, Ingemar Gustafsson

Abstract read
In one paragraph

Article in Acta ophthalmologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Thorbjörg OlafsdottirDepartment of Ophthalmology, Department of Clinical Sciences, Skåne University Hospital, Lund University, Lund, Sweden.
Faisal HootakDepartment of Ophthalmology, Centralsjukhuset Kristianstad, Kristianstad, Sweden.
Carina ForslundTissue Bank, Skåne University Hospital, Lund, Sweden.
Eydis OlafsdottirDepartment of Ophthalmology, Department of Clinical Sciences, Skåne University Hospital, Lund University, Lund, Sweden.
Ingemar GustafssonDepartment of Ophthalmology, Department of Clinical Sciences, Skåne University Hospital, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0001-7001-0202

Funding

Stiftelsen för Synskadade i f.d. Malmöhus län
6 · The paper itself

Abstract

purposeTo analyse graft detachment rates after Descemet stripping automated endothelial keratoplasty (DSAEK) using surgeon-cut grafts and pre-cut grafts transported in different mediums.

methodsA retrospective study of graft detachment rates including 265 surgeries (240 patients) performed between 2019 and 2023. The DSAEK grafts were either surgeon-cut (n = 135) or pre-cut and transported in a dextran-containing medium (n = 82) or in a dextran-free medium (n = 48). All surgeries were performed by a single surgeon (I.G.). The surgeries were categorised according to whether the recipients' eyes had, or did not have, factors associated with an increased risk of graft detachment. Detachment rates were compared for all patients receiving the different kinds of graft, and only for those without risk factors.

resultsA significantly higher detachment rate was found among patients receiving pre-cut grafts transported in a dextran-containing medium (32.9%), compared to surgeon-cut grafts (14.1%, p = 0.002), and pre-cut grafts transported in a dextran-free medium (6.3%, p = 0.002) for all recipients (those with and without risk factors for graft detachment). When analysing recipients without risk factors for graft detachment, the detachment rate was still significantly higher with pre-cut tissue transported in a dextran-containing medium (26.9%), compared to surgeon-cut tissue (8.3%, p = 0.002) and pre-cut tissue transported in a dextran-free medium (3.6%, p = 0.01).

conclusionsThe use of pre-cut DSAEK tissue transported in a dextran-containing medium significantly increases the risk of graft detachment requiring re-bubbling.

Indexed as

Descemet Stripping Endothelial KeratoplastyEndothelium, CornealGraft RejectionSurgeonsAgedAged, 80 and overFemaleFollow-Up StudiesGraft SurvivalHumansMaleMiddle AgedRetrospective StudiesRisk Factorsbullous keratopathyDSAEKfuchs dystrophylamellar keratoplasty

Identifiers

PMID39508714
PMCPMC11986399

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.